| Mppg, Inc. | |
|
4731 Waters Ave Savannah GA 31404-6219 | |
| (912) 350-4905 | |
| (912) 350-4955 |
| Full Name | Mppg, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4731 Waters Ave, Savannah, Georgia |
| Authorized Official Name and Position | Tammy Hash (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 9123509335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mppg, Inc. Po Box 102032 Atlanta GA 30368-2032 Ph: (912) 350-4905 | Mppg, Inc. 4731 Waters Ave Savannah GA 31404-6219 Ph: (912) 350-4905 |
| NPI Number | 1033131172 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 05/10/2017 |
| Medicare PECOS PAC ID | 7012829351 |
|---|---|
| Medicare Enrollment ID | O20040223000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033131172 | NPI | - | NPPES |
| 300031676A | Medicaid | GA |
| Provider Name | Carol N Pryby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528044948 PECOS PAC ID: 4688567951 Enrollment ID: I20040203000102 |
| Provider Name | James E Ramage |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750325890 PECOS PAC ID: 6800873183 Enrollment ID: I20040706000161 |
| Provider Name | Mark T Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548232473 PECOS PAC ID: 3375515893 Enrollment ID: I20040806000221 |
| Provider Name | Gwendolyn G Mccall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871537878 PECOS PAC ID: 5698728582 Enrollment ID: I20050303000162 |
| Provider Name | Carl R Boyd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962445361 PECOS PAC ID: 3375581531 Enrollment ID: I20050419001242 |
| Provider Name | Patrick F Hammen |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1164461505 PECOS PAC ID: 1153360433 Enrollment ID: I20050426001252 |
| Provider Name | Syl a Lord |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1093758443 PECOS PAC ID: 3678512951 Enrollment ID: I20050426001279 |
| Provider Name | Oliver C. Whipple |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386686384 PECOS PAC ID: 4082685086 Enrollment ID: I20050620000385 |
| Provider Name | Peggy L Byck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588602262 PECOS PAC ID: 4183660111 Enrollment ID: I20050630000058 |
| Provider Name | Cynthia L Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609966456 PECOS PAC ID: 0143235549 Enrollment ID: I20060208000389 |
| Provider Name | Brandy T Aliotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427112085 PECOS PAC ID: 2567479918 Enrollment ID: I20060310000045 |
| Provider Name | Wilfredo V Dolor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609857127 PECOS PAC ID: 3476592312 Enrollment ID: I20060407000238 |
| Provider Name | Alvaro H Fonseca |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740225499 PECOS PAC ID: 1456363852 Enrollment ID: I20060630000084 |
| Provider Name | Brian M. Bailey |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609801810 PECOS PAC ID: 8426061060 Enrollment ID: I20060726000140 |
| Provider Name | Paula D Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790709756 PECOS PAC ID: 6204839012 Enrollment ID: I20060817000159 |
| Provider Name | Felicia M Carr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205858750 PECOS PAC ID: 5890798623 Enrollment ID: I20060817000302 |
| Provider Name | David Carney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962452250 PECOS PAC ID: 5092785071 Enrollment ID: I20060905000271 |
| Provider Name | Mary C Downing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376639237 PECOS PAC ID: 7618974502 Enrollment ID: I20061108000091 |
| Provider Name | George a Tindol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851379259 PECOS PAC ID: 9830197235 Enrollment ID: I20061120000117 |
| Provider Name | Dina E Linfoot |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760592927 PECOS PAC ID: 1557376977 Enrollment ID: I20070409000485 |
| Provider Name | Susan Elaine Catalan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982800942 PECOS PAC ID: 1153414131 Enrollment ID: I20070907000002 |
| Provider Name | Robert M Pallay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275552143 PECOS PAC ID: 8123083664 Enrollment ID: I20080115000735 |
| Provider Name | John Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255542361 PECOS PAC ID: 0345319075 Enrollment ID: I20080520000771 |
| Provider Name | Christopher H. Rittmeyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851370019 PECOS PAC ID: 4880647957 Enrollment ID: I20080612000416 |
| Provider Name | Arthur J Provisor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902976152 PECOS PAC ID: 7416029780 Enrollment ID: I20080701000395 |
| Provider Name | Mary I Cady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427097385 PECOS PAC ID: 6901964790 Enrollment ID: I20081023000145 |
| Provider Name | Shauna S Kincheloe Zaren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134230063 PECOS PAC ID: 3375559008 Enrollment ID: I20090108000345 |
| Provider Name | Kristen J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174787998 PECOS PAC ID: 9739243890 Enrollment ID: I20090204000372 |
| Provider Name | Cristine P Miclat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649418310 PECOS PAC ID: 3678620820 Enrollment ID: I20090406000252 |
| Provider Name | Heather G Macnew |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346393279 PECOS PAC ID: 0547331399 Enrollment ID: I20090714000383 |
| Provider Name | Igor V Aksenov |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699854224 PECOS PAC ID: 0648322701 Enrollment ID: I20090721000261 |
| Provider Name | Chetan Deshpande |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871709824 PECOS PAC ID: 2961540299 Enrollment ID: I20091106000400 |
| Provider Name | Thomas Hogan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265472823 PECOS PAC ID: 4688609977 Enrollment ID: I20091207000170 |
| Provider Name | William J Bromberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932131190 PECOS PAC ID: 6901946029 Enrollment ID: I20091222000423 |
| Provider Name | Sabin Tomus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689616963 PECOS PAC ID: 4486689775 Enrollment ID: I20091229000223 |
| Provider Name | William C Boswell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174567309 PECOS PAC ID: 3375683113 Enrollment ID: I20091229000529 |
| Provider Name | Robert W Beard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831133495 PECOS PAC ID: 6002957800 Enrollment ID: I20091230000361 |
| Provider Name | Frank E Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992737050 PECOS PAC ID: 5193744423 Enrollment ID: I20100104000068 |
| Provider Name | Steven J Novack |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366488504 PECOS PAC ID: 7810038874 Enrollment ID: I20100113000146 |
| Provider Name | Donald Keith Cobb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386688554 PECOS PAC ID: 2062553027 Enrollment ID: I20100113000184 |
| Provider Name | Thomas W Mckee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104980754 PECOS PAC ID: 4587705553 Enrollment ID: I20100113000214 |
| Provider Name | Stephen L Morris |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538104567 PECOS PAC ID: 0941235238 Enrollment ID: I20100113000244 |
| Provider Name | Donna Evans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972530525 PECOS PAC ID: 0143255430 Enrollment ID: I20100113000256 |
| Provider Name | Raymond Rudolph |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295836617 PECOS PAC ID: 8628119690 Enrollment ID: I20100113000274 |
| Provider Name | Anthony B. Royek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013956903 PECOS PAC ID: 9638212533 Enrollment ID: I20100201000258 |
| Provider Name | Kimberly a Crute |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992750384 PECOS PAC ID: 4981747110 Enrollment ID: I20100210000106 |
| Provider Name | Todd a Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497791792 PECOS PAC ID: 6204979438 Enrollment ID: I20100210000140 |
| Provider Name | Natalie M Hogan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689619033 PECOS PAC ID: 5991849952 Enrollment ID: I20100215000766 |
| Provider Name | Emily a Baise-shuman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730316001 PECOS PAC ID: 0446385884 Enrollment ID: I20100324000226 |
| Provider Name | Pamela G Gaudry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740236470 PECOS PAC ID: 6103952122 Enrollment ID: I20100330000251 |
| Provider Name | Stephen B Malone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538109665 PECOS PAC ID: 7618003633 Enrollment ID: I20100330000288 |
| Provider Name | Joanne P. Williamson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407058944 PECOS PAC ID: 9739272881 Enrollment ID: I20100817001317 |
| Provider Name | Ashley M Wanager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275859050 PECOS PAC ID: 7315139417 Enrollment ID: I20101007000910 |
| Provider Name | Jessica a Kobleur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790982361 PECOS PAC ID: 2365635729 Enrollment ID: I20101019000528 |
| Provider Name | Shonna L Mcgee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245425149 PECOS PAC ID: 6406040716 Enrollment ID: I20101101000560 |
| Provider Name | Karen Lynn Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093886715 PECOS PAC ID: 2769677525 Enrollment ID: I20101108000117 |
| Provider Name | Michael Kilbourne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235442682 PECOS PAC ID: 2466631171 Enrollment ID: I20110127000459 |
| Provider Name | Jessica R Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366697419 PECOS PAC ID: 9739361627 Enrollment ID: I20110314001052 |
| Provider Name | Jamie M Andrews |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972893543 PECOS PAC ID: 6204013253 Enrollment ID: I20110531000709 |
| Provider Name | Alan Rice |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326026048 PECOS PAC ID: 8325196264 Enrollment ID: I20110623000560 |
| Provider Name | Darron Steven Standiford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689966608 PECOS PAC ID: 4082892518 Enrollment ID: I20110701000101 |
| Provider Name | Rachel Lane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255626347 PECOS PAC ID: 2961671797 Enrollment ID: I20110811000255 |
| Provider Name | Dean Hugh Stephens |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134256381 PECOS PAC ID: 4082787908 Enrollment ID: I20110823000564 |
| Provider Name | Amelia T Crawford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396002150 PECOS PAC ID: 1557524626 Enrollment ID: I20120530000218 |
| Provider Name | Kristina N Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841426707 PECOS PAC ID: 5991951220 Enrollment ID: I20120801000963 |
| Provider Name | Margaret Ann Ellis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194951764 PECOS PAC ID: 5597911537 Enrollment ID: I20120808000082 |
| Provider Name | Teyonka T. Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558506352 PECOS PAC ID: 4981749413 Enrollment ID: I20120813000449 |
| Provider Name | Bobbie Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275789190 PECOS PAC ID: 3678729100 Enrollment ID: I20120815000642 |
| Provider Name | Jessica V. Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639303415 PECOS PAC ID: 4385892413 Enrollment ID: I20120914000687 |
| Provider Name | Kurt S. Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295969228 PECOS PAC ID: 8921256587 Enrollment ID: I20120924000715 |
| Provider Name | William E Burak |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1518159417 PECOS PAC ID: 7315845518 Enrollment ID: I20121002000528 |
| Provider Name | Nicole M. Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689993081 PECOS PAC ID: 3375785348 Enrollment ID: I20130805000581 |
| Provider Name | Desh Bandhu Nepal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477871648 PECOS PAC ID: 8729221569 Enrollment ID: I20130827000630 |
| Provider Name | Craig Wesley Denlinger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114147303 PECOS PAC ID: 9436393428 Enrollment ID: I20130912000451 |
| Provider Name | Donna Maureen Prill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417972746 PECOS PAC ID: 5092739714 Enrollment ID: I20140213001061 |
| Provider Name | Allison Nichole Andrews |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578857173 PECOS PAC ID: 5193955045 Enrollment ID: I20140220001438 |
| Provider Name | Domenick J. Roma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023278967 PECOS PAC ID: 7416111695 Enrollment ID: I20140311001981 |
| Provider Name | Elena Pimanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710278445 PECOS PAC ID: 7315170941 Enrollment ID: I20140505002140 |
| Provider Name | Andrew P Stack |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902063407 PECOS PAC ID: 6406071471 Enrollment ID: I20140707001803 |
| Provider Name | Thomas C. Garner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801185442 PECOS PAC ID: 6901061449 Enrollment ID: I20140714000707 |
| Provider Name | Bonzo K. Reddick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568575041 PECOS PAC ID: 8325078132 Enrollment ID: I20140714000868 |
| Provider Name | James R. Dunne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497746754 PECOS PAC ID: 7012907744 Enrollment ID: I20140716001665 |
| Provider Name | Samuel Mcelroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023302544 PECOS PAC ID: 0941428031 Enrollment ID: I20140903000869 |
| Provider Name | Rebecca M Welter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538563408 PECOS PAC ID: 8426370065 Enrollment ID: I20141209002141 |
| Provider Name | Anil Piya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841446408 PECOS PAC ID: 7810130085 Enrollment ID: I20150415001266 |
| Provider Name | Kristi D Dees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821491473 PECOS PAC ID: 5698089068 Enrollment ID: I20150729007772 |
| Provider Name | Ryann E Cowart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982970760 PECOS PAC ID: 6406084771 Enrollment ID: I20150911002475 |
| Provider Name | Beckie Strickland Hayes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912191792 PECOS PAC ID: 1557679024 Enrollment ID: I20151001003224 |
| Provider Name | Kimberly a Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750767224 PECOS PAC ID: 6406164565 Enrollment ID: I20151009000769 |
| Provider Name | Tracy O. Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013383876 PECOS PAC ID: 7214247394 Enrollment ID: I20151102000402 |
| Provider Name | Candace Murbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790762276 PECOS PAC ID: 9436259462 Enrollment ID: I20151215000084 |
| Provider Name | Ashley S. Brigdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174990956 PECOS PAC ID: 7517269681 Enrollment ID: I20160106001128 |
| Provider Name | Kathryn Reynolds Zeigler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629435862 PECOS PAC ID: 6103120969 Enrollment ID: I20160215002464 |
| Provider Name | Julie Ann Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831460302 PECOS PAC ID: 0446559090 Enrollment ID: I20160503000731 |
| Provider Name | Jessica R. Talles-eriksen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699135848 PECOS PAC ID: 4082913678 Enrollment ID: I20160503002220 |
| Provider Name | Edward J Kauffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316323777 PECOS PAC ID: 5395034615 Enrollment ID: I20160510000905 |
| Provider Name | Blanche L. Kearley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871978148 PECOS PAC ID: 8527357870 Enrollment ID: I20160510001814 |
| Provider Name | Heather Lynn Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750744249 PECOS PAC ID: 7618268079 Enrollment ID: I20160615002437 |
| Provider Name | Jackie M Kehrli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003216045 PECOS PAC ID: 0446541569 Enrollment ID: I20160621001979 |
| Provider Name | Marvin H Sineath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043227077 PECOS PAC ID: 2961684774 Enrollment ID: I20160706000455 |
| Provider Name | Danielle Dondiego |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982947610 PECOS PAC ID: 8729370077 Enrollment ID: I20160707001764 |
| Provider Name | Lauren M Hebert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942525183 PECOS PAC ID: 2769637362 Enrollment ID: I20160801002168 |
| Provider Name | Christina M. Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306850425 PECOS PAC ID: 6709880578 Enrollment ID: I20160810002615 |
| Provider Name | Lindsey Y. Goldberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427379643 PECOS PAC ID: 8921227257 Enrollment ID: I20160823003068 |
| Provider Name | Joseph C. Kramer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427386689 PECOS PAC ID: 3375844186 Enrollment ID: I20160824000643 |
| Provider Name | Chloe M. Paddison |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154876316 PECOS PAC ID: 3678868700 Enrollment ID: I20160829000341 |
| Provider Name | Daniel Jay Roth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467541078 PECOS PAC ID: 7911068473 Enrollment ID: I20160927002283 |
| Provider Name | Ashley Mabina Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831535202 PECOS PAC ID: 5991089328 Enrollment ID: I20170303001143 |
| Provider Name | Randi Caroline Kozlowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992249635 PECOS PAC ID: 2860778784 Enrollment ID: I20170407001119 |
| Provider Name | Jeffrey Silver |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770585978 PECOS PAC ID: 0345326153 Enrollment ID: I20170525001756 |
| Provider Name | Jessica S Donaldson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487935979 PECOS PAC ID: 8921379579 Enrollment ID: I20170801001326 |
| Provider Name | William Neely Hannah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063519353 PECOS PAC ID: 4688892946 Enrollment ID: I20170810002068 |
| Provider Name | James Shoptaw Jr. |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1710951942 PECOS PAC ID: 3678543089 Enrollment ID: I20170822002228 |
| Provider Name | James Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407227994 PECOS PAC ID: 4587936752 Enrollment ID: I20170823001103 |
Memorial Physicians Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4731 Waters Ave, Savannah, GA 31404 Phone: 912-350-4905 Fax: 912-350-4955 |
Coastal Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1107 E 66th St, Savannah, GA 31404 Phone: 912-350-8408 |
Union Mission, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Fahm St, Savannah, GA 31401 Phone: 912-495-8887 Fax: 912-495-8889 |
Curtis V. Cooper Primary Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4451 Paulsen St, Savannah, GA 31405 Phone: 912-527-1005 Fax: 912-527-1126 |
Dynamic Loop Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Bull St # 200, Savannah, GA 31401 Phone: 470-332-5035 Fax: 888-977-3104 |
Steadfast Family Medicine, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4790 Waters Ave Ste 400, Savannah, GA 31404 Phone: 912-866-1220 |